Individual provider Active NPI

Erin Elizabeth Tilton

  • Dentist
  • Clayton, NC
National Provider Identifier
1780030874
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10361 Issued in NC
Practice address
31 Oleander Dr
Clayton, NC 27527-4561
Phone
(330) 306-8449
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 10361 NC Primary

Addresses

Primary practice location

31 Oleander Dr
Clayton, NC 27527-4561

Mailing address

232 Brauer HL
Campus Box #7450
Chapel Hill, NC 27599-0001
Phone (330) 306-8449

Other practice location 1

1111 S Pollock St
Selma, NC 27576-2933
Phone (330) 306-8449

Other practice location 2

4019 Vallonia Dr
Cary, NC 27519-6624
Phone (330) 306-8449

Other practice location 3

1000 Crescent Grn Ste 200
Cary, NC 27518-8117
Phone (330) 306-8449

Other names 1

  • Erin Elizabeth Brodell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.brushandfloss.com/locations/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000022 NC Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7113218157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10361NCMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1780030874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BRAUER HL",
            "address_2": "CAMPUS BOX #7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "330-306-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OLEANDER DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274561",
            "telephone_number": "330-306-8449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Pollock St",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "NC",
            "postal_code": "275762933",
            "country_code": "US",
            "telephone_number": "330-306-8449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4019 Vallonia Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275196624",
            "country_code": "US",
            "telephone_number": "330-306-8449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Crescent Grn Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188117",
            "country_code": "US",
            "telephone_number": "330-306-8449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILTON",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.brushandfloss.com/locations/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://www.brushandfloss.com/locations/",
            "address_1": "31 Oleander Dr",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275274561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BRODELL",
            "middle_name": "ELIZABETH",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.